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Switch medication from clomipramine to nortriptyline.[1] [2]
Stop clomipramine - Before day 0: gradually reduce dosage of clomipramine to a maximum of 75 mg/day, when this dosage is > 75 mg/day.
- Day 1: reduce dosage of clomipramine to 50 mg/day.
- Day 8: reduce dosage of clomipramine to 25 mg/day.
- Day 15: stop administration of clomipramine.
Start nortriptylineDay 8: start administration of nortriptyline in a dosage of 25 mg/day.
- Day 15: increase dosage of nortriptyline to 50 mg/day.
- Day 22: increase dosage of nortriptyline.
- ↑ Switches are based on literature references on this page and expert opinions of the authors. The authors have used pharmacokinetic and receptor affinity properties to determine the switch schedules
- ↑ Stahl, S. M. (2013). Stahl's essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). Cambridge University Press.
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